Back to Journals » International Journal of Chronic Obstructive Pulmonary Disease » Volume 8

Helping COPD patients change health behavior in order to improve their quality of life

Authors Almagro P, Castro A

Received 14 April 2013

Accepted for publication 11 June 2013

Published 24 July 2013 Volume 2013:8 Pages 335—345

DOI https://doi.org/10.2147/COPD.S34211

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4

Pere Almagro, Alejandra Castro

Acute Geriatric Care Unity, Internal Medicine Department, University Hospital Mútua de Terrassa, Barcelona, Spain


Abstract: Chronic obstructive pulmonary disease (COPD) is one of the most prevalent and debilitating diseases in adults worldwide and is associated with a deleterious effect on the quality of life of affected patients. Although it remains one of the leading causes of global mortality, the prognosis seems to have improved in recent years. Even so, the number of patients with COPD and multiple comorbidities has risen, hindering their management and highlighting the need for futures changes in the model of care. Together with standard medical treatment and therapy adherence – essential to optimizing disease control – several nonpharmacological therapies have proven useful in the management of these patients, improving their health-related quality of life (HRQoL) regardless of lung function parameters. Among these are improved diagnosis and treatment of comorbidities, prevention of COPD exacerbations, and greater attention to physical disability related to hospitalization. Pulmonary rehabilitation reduces symptoms, optimizes functional status, improves activity and daily function, and restores the highest level of independent physical function in these patients, thereby improving HRQoL even more than pharmacological treatment. Greater physical activity is significantly correlated with improvement of dyspnea, HRQoL, and mobility, along with a decrease in the loss of lung function. Nutritional support in malnourished COPD patients improves exercise capacity, while smoking cessation slows disease progression and increases HRQoL. Other treatments such as psychological and behavioral therapies have proven useful in the treatment of depression and anxiety, both of which are frequent in these patients. More recently, telehealthcare has been associated with improved quality of life and a reduction in exacerbations in some patients. A more multidisciplinary approach and individualization of interventions will be essential in the near future.

Keywords: COPD, health related quality of life, comorbidity, disability, pulmonary rehabilitation, telehealthcare

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Other articles by this author:

Readers of this article also read:

Investigation of cellular responses upon interaction with silver nanoparticles

Subbiah R, Jeon SB, Park K, Ahn SJ, Yun KS

International Journal of Nanomedicine 2015, 10:191-201

Published Date: 27 August 2015

Identification of genetic variants in the TNF promoter associated with COPD secondary to tobacco smoking and its severity

Reséndiz-Hernández JM, Sansores RH, Hernández-Zenteno RJ, Vargas-Alarcón G, Colín-Barenque L, Velázquez-Uncal M, Camarena A, Ramírez-Venegas A, Falfán-Valencia R

International Journal of Chronic Obstructive Pulmonary Disease 2015, 10:1241-1251

Published Date: 29 June 2015

Home-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease: a randomized clinical trial

Dias FD, Sampaio LMM, da Silva GA, Dantas Gomes ELF, Nascimento ESP, Santos Alves VL, Stirbulov R, Costa D

International Journal of Chronic Obstructive Pulmonary Disease 2013, 8:537-544

Published Date: 5 November 2013

Indacaterol: a comprehensive review

Rossi A, Polese G

International Journal of Chronic Obstructive Pulmonary Disease 2013, 8:353-363

Published Date: 25 July 2013

The development and pilot testing of the Self-management Programme of Activity, Coping and Education for Chronic Obstructive Pulmonary Disease (SPACE for COPD)

Apps LD, Mitchell KE, Harrison SL, Sewell L, Williams JE, Young HML, Steiner M, Morgan M, Singh SJ

International Journal of Chronic Obstructive Pulmonary Disease 2013, 8:317-327

Published Date: 9 July 2013